Anyone being induced due to high bp? — The Bump
3rd Trimester

Anyone being induced due to high bp?

At my appt yesterday I had high bp (150/100) and protein in my urine.  They sent me to the hospital for some bloodwork and monitoring and my bp fell to 138/78.  My bloodwork came back all normal so they sent me home.  I'm supposed to call my dr. today to talk about being induced next week, which surprised me.  Prior to this visit, my bp has always been normal - it was high once (not sure what the number was) but they had me lay on my side for 10 mins and it went down.

 I'm wondering to those who were induced early for high blood pressure, how high was it?  Was it one reading or several weeks in a row?  Were there other factors?  When were you induced?

 Thanks in advance! 

Re: Anyone being induced due to high bp?

  • I was induced with DD for pre-e. At 34 weeks I went in for an emergency appointment because I woke up with a throbbing headache and couldn't see. Went in my bp was 159/96. After 10 minutes it dropped 149/96. THey found protein in my urine so I had to do a 24 hour urine collection. I ended up on strict bed rest and was at the hospital every other day for monitoring till 36 weeks where I was told I'd stay till I was induced. My headache wasn't going away and the protein was going up and my bp would not drop below 90 if I sat up for a minute it would sky rocket. When I was induced my bp was 170/115 and my protein was over 500 and my liver enzymes were very elevated. For me it was high bp that would not drop and a headache that would not go away combined with rising protein in my urine mixed with elevated enzymes. They told me it was good thing the decided to induce me when they did my kidneys started shutting down while I was in labor. They wanted to induce me at 35 weeks by DD was not ready so they decided to try and push me to 37 weeks to give her lungs more time to develop.  
  • I was induced for high bp last time. It was pretty consistently high for a couple of weeks, so they induced at 37 weeks. I was in the hospital being monitored for some of that time. In my case, though, there was no protein in my urine or anything else going on. Maybe it has more to do with the protein AND the high reading in your case? If you're not comfortable with the decision, make them explain. I still wonder sometimes if I did the right thing in going along with the induction last time. It would be better to know for sure that you're doing the very best thing for you and baby, induction or otherwise. 
    A 4/26/10 and B 6/13/11
  • I'm almost in the same situation as you. Last week I went for my 30w check up and had a bp of 156/98(first high bp).  No protein in my urine, tho.  I was sent to the hospital for overnight monitoring and all my bloodwork, 24h urine collection, and bp readings where good to go.  However, while in the hospital,  my doc keept talking bed rest and steroid  shots for baby's lungs and inducing me at 37w.  But just this past Wed, I went in for another check up and bp was good and no talk of inducing. So for now, I guess everything is ok and LO can stay as long as he needs to. GL to you and LO.
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  • I was.

    Pre-pregnancy, I always had slightly low blood pressure. At about 34 weeks, it suddenly went into the dangerous range but would drop when I laid on my side for 10 minutes etc. The OB put me on modified bed rest (in bed whenever not at work, which is a desk job) and at 36 weeks added meds. There was no protein in the urine and all bloodwork was fine.

    At 38 weeks, nothing was improving (usually about 140/110) and my fundal height had stopped increasing so she told me to start coming in twice a week for bp checks instead of just at the weekly appt. She was going out of town so my next bp-only check was with another dr at the practice, still at 38 weeks. Well she had a much lower risk tolerance than my OB and suddenly I was being admitted to L&D. There was a little protein for the first time too. The OB on duty at the hospital agreed that induction needed to happen immediately.  I was really unprepared for that mentally. My OB hadn't been bringing that up as a possibility. She'd only talked about moving me to full-time bed rest. We didn't have bags packed or anything. And I wasn't at all dilated/effaced.

    It ended up going pretty smoothly.  10 hours from admission to delivery and no c-section. Nine days before due date. He was just under 6 pounds (and 20.5") despite DH and I both being large babies. Apparently that's a normal thing with high blood pressure.

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  • My bp has been about 135/95 since 27 weeks. My Dr. is keeping a very close eye on it and has me going to the hospital once a week for NSTs and has had me do 3 24hr urine collections and toxemia bloodwork panels. So far everything in the tests has come back well, so she has said that purely due to the elevated bp he needs to arrive between 39 and 40 weeks. Whether that is on his time schedule or me being induced is still up in the air.  She has also said that if my bp gets much higher that she may call it game over at 37ish weeks and induce then.  She has taken me out of work for the time being and it has helped some, so I'm hoping that I can have him when he's ready instead of forcing him out. :)
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  • I'm being induced on Sunday due to pre-e.  My blood pressure has remained around 145/85 for about a month with little fluctuation and I have protein in my urine.

    I have no other symptoms of pre-e (no swelling, headaches, blurry vision, etc), but my doctor is afraid of me "going sour" and is uncomfortable letting me progress to 39 or 40 weeks.

    after a successful induction Yuri-Anne was born 5/30/11!
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  • It is probably to be on the safe side, where you will be 39 weeks next week, inducing the baby isnt a big risk to the baby, but pre-e can really complicate things. where you have protien in your urine and fairly high blood pressure, they probably want to stay on the safe side.

    I was induced at 37 weeks for 158/99 and protien in my urine. Before they induced they did 2 24 hour urine catches and in the time that they were doing that I started having visual disturbances and headaches. Once the other symptoms started they stopped with the testing and started the induction.

    I would get familiar with the symptoms of pre-e and call your doctor if you start having any new symptoms especially head ache or visual stuff.

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  • image megastar007:
    My bp has been about 135/95 since 27 weeks. My Dr. is keeping a very close eye on it and has me going to the hospital once a week for NSTs and has had me do 3 24hr urine collections and toxemia bloodwork panels. So far everything in the tests has come back well, so she has said that purely due to the elevated bp he needs to arrive between 39 and 40 weeks. Whether that is on his time schedule or me being induced is still up in the air.  She has also said that if my bp gets much higher that she may call it game over at 37ish weeks and induce then.  She has taken me out of work for the time being and it has helped some, so I'm hoping that I can have him when he's ready instead of forcing him out. :)

    I'm in the exact same situation. I have elevated blood presure, but no protien or any other issues. I've been put on a modified bedres and I go to the dr once per week. The specialist I saw said I would probably deliver between 36 and 38 weeks. He didn't say the word induce, but I assumed that is what it would come down to so I'm mentally prepared.

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  • I'm being induced a week from today for high BP.  I'm also in a similar situation as OP.  No protein in my urine, my blood tests came back normal, but my bp just keeps going up and up.  Rest helps to bring it back down, but at the doctor on Wednesday (where I learned he wanted to deliver by next Friday at the latest) it was 150/92.  My normal bp pre-pregnancy was always VERY low, so this is high for me. 

    I had also been having some pretty severe headaches with visual disturbances (flashes of light).  I think that my body is creeping up on Pre-E, and my doctor wants to deliver before it gets to that point.

    Good luck!

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